, Nursing57for57Wellness57in57Older57Adults579th57Edition57Miller57Test57Ban
k57Chapter57157Seeing57Older57Adults57Through57the57Eyes57of57Wellness
1. In572010,57the57revised57Standards57and57Scope57of57Gerontological57Nursing57Practice57was
57published.57The57nurse57would57use57these57standards57to:
a. promote57the57practice57of57gerontologic57nursing57within57the57acute57care57setting.
b. define57the57concepts57and57dimensions57of57gerontologic57nursing57practice.
c. elevate57the57practice57of57gerontologic57nursing.
d. incorporate57suggested57interventions57from57others57who57practice57geron
tologic57nursing.
ANS:57D
The57current57publishing57of57the57Standards57and57Scope57of57Gerontological57Nursing57Practi
ce57in57201057incorporates57the57input57of57gerontologic57nurses57from57across57the57United57Sta
tes.57It57was57not57intended57to57promote57gerontologic57nursing57practice57within57acute57care57
settings,57define57concepts57or57dimensions57of57gerontologic57nursing57practice,57or57elevate57t
he57practice57of57gerontologic57nursing.
DIF:57Remembering57(Knowledge)57REF:57MCS:57257OBJ:571
-
157TOP:57N/A57MSC:57Safe57and57Effective57Care57Environ
ment
2. When57attempting57to57minimize57the57effect57of57ageism57on57the57practice57of57nursing57o
lder57adults,57a57nurse57needs57to57first:
a. recognize57that57nurses57must57act57as57advocates57for57aging57patients.
b. accept57that57this57population57represents57a57substantial57portion57of57those5
7requiring57nursing57care.
c. self-reflect57and57formulate57ones57personal57view57of57aging57and57the57older57patient.
d. recognize57ageism57as57a57form57of57bigotry57shared57by57many57Americans.
,ANS:57C
, Ageism57is57an57ever-
increasing57prejudicial57view57of57the57effects57of57the57aging57process57and57of57the57older57popu
lation57as57a57whole.57With57nurses57being57members57of57a57society57holding57such57views,57it57
is57critical57that57the57individual57nurse57self-
reflect57on57personal57feelings57and57determine57whether57such57feelings57will57affect57the57nursi
ng57care57that57he57or57she57provides57to57the57aging57patient.57Acting57as57an57advocate57is57an5
7important57nursing57role57in57all57settings.57Simply57accepting57a57fact57does57not57help57end57a
geism,57nor57does57recognizing57ageism57as57a57form57of57bigotry.
DIF:57Applying57(Application)57REF:57N/A57OBJ:571-9
TOP:57Teaching-Learning57MSC:57Safe57and57Effective57Care57Environment
3. When57discussing57factors57that57have57helped57to57increase57the57number57of57healthy,57indep
endent57older57Americans,57the57nurse57includes57the57importance57of:
a. increased57availability57of57in-home57care57services.
b. government57support57of57retired57citizens.
c. effective57antibiotic57therapies.
d. the57development57of57life-extending57therapies.
ANS:57C
The57health57and57ultimate57autonomy57of57older57Americans57has57been57positively57impacted5
7by57the57development57of57antibiotics,57better57sanitation,57and57vaccines.57These57public57heal
th57measures57have57been57more57instrumental57in57increasing57the57numbers57of57healthy,57inde
pendent57older57Americans57than57have57in-
home57care57services,57government57programs,57or57life-extending57therapies.
DIF:57Remembering57(Knowledge)57REF:57MCS:57257OBJ:573-3
TOP:57Nursing57Process:57Implementation57MSC:57Health57Promotion57and57Maintenance
4. Based57on57current57data,57when57presenting57an57older57adults57discharge57teaching57pla
n,57the57nurse57includes57the57patients:
a. nonrelated57caretaker.
b. paid57caregiver.
k57Chapter57157Seeing57Older57Adults57Through57the57Eyes57of57Wellness
1. In572010,57the57revised57Standards57and57Scope57of57Gerontological57Nursing57Practice57was
57published.57The57nurse57would57use57these57standards57to:
a. promote57the57practice57of57gerontologic57nursing57within57the57acute57care57setting.
b. define57the57concepts57and57dimensions57of57gerontologic57nursing57practice.
c. elevate57the57practice57of57gerontologic57nursing.
d. incorporate57suggested57interventions57from57others57who57practice57geron
tologic57nursing.
ANS:57D
The57current57publishing57of57the57Standards57and57Scope57of57Gerontological57Nursing57Practi
ce57in57201057incorporates57the57input57of57gerontologic57nurses57from57across57the57United57Sta
tes.57It57was57not57intended57to57promote57gerontologic57nursing57practice57within57acute57care57
settings,57define57concepts57or57dimensions57of57gerontologic57nursing57practice,57or57elevate57t
he57practice57of57gerontologic57nursing.
DIF:57Remembering57(Knowledge)57REF:57MCS:57257OBJ:571
-
157TOP:57N/A57MSC:57Safe57and57Effective57Care57Environ
ment
2. When57attempting57to57minimize57the57effect57of57ageism57on57the57practice57of57nursing57o
lder57adults,57a57nurse57needs57to57first:
a. recognize57that57nurses57must57act57as57advocates57for57aging57patients.
b. accept57that57this57population57represents57a57substantial57portion57of57those5
7requiring57nursing57care.
c. self-reflect57and57formulate57ones57personal57view57of57aging57and57the57older57patient.
d. recognize57ageism57as57a57form57of57bigotry57shared57by57many57Americans.
,ANS:57C
, Ageism57is57an57ever-
increasing57prejudicial57view57of57the57effects57of57the57aging57process57and57of57the57older57popu
lation57as57a57whole.57With57nurses57being57members57of57a57society57holding57such57views,57it57
is57critical57that57the57individual57nurse57self-
reflect57on57personal57feelings57and57determine57whether57such57feelings57will57affect57the57nursi
ng57care57that57he57or57she57provides57to57the57aging57patient.57Acting57as57an57advocate57is57an5
7important57nursing57role57in57all57settings.57Simply57accepting57a57fact57does57not57help57end57a
geism,57nor57does57recognizing57ageism57as57a57form57of57bigotry.
DIF:57Applying57(Application)57REF:57N/A57OBJ:571-9
TOP:57Teaching-Learning57MSC:57Safe57and57Effective57Care57Environment
3. When57discussing57factors57that57have57helped57to57increase57the57number57of57healthy,57indep
endent57older57Americans,57the57nurse57includes57the57importance57of:
a. increased57availability57of57in-home57care57services.
b. government57support57of57retired57citizens.
c. effective57antibiotic57therapies.
d. the57development57of57life-extending57therapies.
ANS:57C
The57health57and57ultimate57autonomy57of57older57Americans57has57been57positively57impacted5
7by57the57development57of57antibiotics,57better57sanitation,57and57vaccines.57These57public57heal
th57measures57have57been57more57instrumental57in57increasing57the57numbers57of57healthy,57inde
pendent57older57Americans57than57have57in-
home57care57services,57government57programs,57or57life-extending57therapies.
DIF:57Remembering57(Knowledge)57REF:57MCS:57257OBJ:573-3
TOP:57Nursing57Process:57Implementation57MSC:57Health57Promotion57and57Maintenance
4. Based57on57current57data,57when57presenting57an57older57adults57discharge57teaching57pla
n,57the57nurse57includes57the57patients:
a. nonrelated57caretaker.
b. paid57caregiver.
